Role of CT guided spinal injections in management of chronic low back pain

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Congress:

ECR 2015

Poster Number:

B-0345

Type:

Scientific Paper

Keywords:

Interventional non-vascular, Management, Musculoskeletal spine, CT, Technical aspects

Authors:

S. A. Z. Khodair, E. Mashaly, H. Sameer; Qwuesna/EG

DOI:

10.1594/ecr2015/B-0345

DOI-Link:

https://dx.doi.org/10.1594/ecr2015/B-0345

Fig. 1: 22 G spinal needles localized with the guidance of laser light of the CT machine

Fig. 2: Two different levels injections on the same side by different angle and depth

Fig. 3: peri-facet joint injection with air distribution around the joint before...

Fig. 4: peri-facet joint injection with the needle tip just lateral to the face joint

Purpose

To evaluate the role of CT guided spinal injections in management of chronic low back pain

Methods and materials

Research Ethics Committee approval and informed consent were obtained from all patients after explanation of the procedures, their benefits and possible risks and how we overcome these risks.. Between January 2014 to January 2015 one hundred and twenty patients were included in this study, ( 74 male and 46 female ) aged between 21 – 69 years with a mean age of 41.6 years. Their weight ranged from 65 to 100Kg with mean 77.45 Kg. All patients had pain for a period ranged from 2...

Results

Our study included 120 patients with chronic low back pain on conservative treatment for more than 6 months. Their mean age was 49 years. Seventy two ( 60% ) were female while forty eight (40) % were male. All patients had pain for a period ranged from 2 to 14 years and all used analgesics for at least 12 months. 50% of the patients had radicular pain, 35% had low back pain while 15 % had referred pain. All patients had back tenderness while only...

Conclusion

Low back pain is one of the most frequently reported symptoms in the industrialized world (9). About two-thirds of the population suffers from back pain at some point of time during their life span (10) and this symptom incapacitates 20% of them for long periods (>4 weeks) (11). In this work , patient with radicular pain either with or without intervertebral disc bulge on MRI imaging had received nerve root block at the level of intervertebral disc bulge or according to the site of pain...

Personal information

References

1- Luo X, Pietrobon R, Sun SX, et al . Estimates and patterns of direct health care expenditures among individuals with back pain in the United States. Spine 2004, 29, 79–86. 2- Steenstra IA, Verbeek JH, Heymans MW, et al. Prognostic factors for duration of sick leave in patients sick listed with acute low back pain: a systematic reviewof the literature. Occupational and Environmental Medicine 2005 Dec;62(12): 851–60 3 -Bogduk N. Clinical anatomy of the lumbar spine and sacrum. 4th ed. Edinburgh, Scotland: Elsevier/ Churchill...